Overview

Common Types of Acne is multiple, therefore it may be possible that you notice a cystic lesion over your face and you are thinking whether it can be acne. Well, let me tell you yes, most probably it is acne.

There are two Common types of Acne:

1.    Acne vulgaris
2.    Acne rosasea

How Acne Starts to Grow on the Skin:

Acne vulgaris is the most common form of acne. It begins with a cystic lesion, and then it ruptures and ultimately becomes infectious. Although Acne vulgaris is a self limiting disease mainly of the adolescent and teenagers, 10-15% of the adults continue to suffer some form of this disorder. The primary cause of the disease in teenagers is high production of sebum when they attain the age of puberty. Specific type of gland secrets sebum, called the Sebaceous gland present in the epidermal layer of skin. Tiny cyst like lesion named – Comedonal Acne OR Comedones, emerges in the hair follicles as a result of blockage of the follicular opening due to retention of sebum and many other keratinous materials.

Common Types of Acne

With favorable conditions, bacteria continue to infect these lesions. The most common bacterium responsible for the lesion is ‘Proprioniobacterium acnes’. The action of this organism inside the Comedonal Acne releases some material from the sebum which is mainly acidic in nature – in fact Comedonal Acne is different free fatty acids. All these materials lead to inflammation of the skin. When inflammation occurs within the cyst, there is rupture of the cyst wall.
An inflammatory foreign body type reaction (type II hypersensitivity reaction) as a result of discharge of the oily and keratinous residues from the cyst. The cysts may be open, it is then called the blackheads; and sometimes closed – called the whiteheads. Blackheads are consists of easily expressible high colored oily debris. Whiteheads are tiny cystic lesions, they accentuate when we stretch the skin. This is the precursor of the inflammation in case of Acne vulgaris.

When and Where Comedonal Acne Found?

Comedonal Acne generally exists with other types of inflammatory lesions – papules, nodules and pustules. The lesions grow in the adolescent and teenagers in the beginning are usually mildly whiteheads with inflammation. There may not be presence of redness even.

Common Types of Acne

This is predominantly visible in the middle part of the forehead. As a result, more distinguishing inflammatory lesions develop on the nose, chin and the cheeks. This cyst most commonly affects face. However extensive lesion in the back, trunk and chest are also visible.

Why Acne Scars Develop?

It is noticeable that acne is self limiting. In some cases which involves large area and becomes resistant to the different medications, scarring do occur leading to an ugly look.

How to Treat Acne? (Treatment of Acne)

There are some aspects that may change the end result of acne. External trauma and rubbing of the inflamed skin may rupture the existing benign cyst. Thus, the lesions which may not rupture at all in normal circumstances become exposed to the deleterious action of bacteria and deep scarring occurs.

Common Types of Acne

Application of irritable tropical creams, cosmetics and hair care preparations or constant contact to certain industrial compounds, which are comedogenic in nature may bring out or worsen the condition. Moreover, there are some medicines like lithium, glucocorticoid cream, isoniazide, halogens and phenytoins which may produce Comedonal Acne or may exacerbate existing acne.

So, should you find any cyst like wound over your face or on the back, do not forget to pay attention and rush to your doctor for an expert opinion.

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